Individual
ELIZABETH M COUTURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001818
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080001818CT07
ANTHEM BLUE CROSS BLUE SHIELD
CT
Enumeration date
10/06/2006
Last updated
10/14/2008
Update your record
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